f*******g
发帖数: 245 | 1 Lancet. 2014 Aug 30;384(9945):819-27. doi: 10.1016/S0140-6736(14)61307-6.
Transformation of the education of health professionals in China: progress
and challenges.
Hou J1, Michaud C2, Li Z2, Dong Z1, Sun B3, Zhang J4, Cao D5, Wan X6, Zeng
C7, Wei B8, Tao L9, Li X7, Wang W10, Lu Y11, Xia X12, Guo G13, Zhang Z14,
Cao Y14, Guan Y15, Meng Q16, Wang Q11, Zhao Y17, Liu H18, Lin H19, Ke Y20,
Chen L2.
Abstract
In this Review we examine the progress and challenges of China's ambitious
1998 reform of the world's largest health professional educational system.
The reforms merged training institutions into universities and greatly
expanded enrolment of health professionals. Positive achievements include an
increase in the number of graduates to address human resources shortages,
acceleration of production of diploma nurses to correct skill-mix imbalance,
and priority for general practitioner training, especially of rural primary
care workers. These developments have been accompanied by concerns: rapid
expansion of the number of students without commensurate faculty
strengthening, worries about dilution effect on quality, outdated curricular
content, and ethical professionalism challenged by narrow technical
training and growing admissions of students who did not express medicine as
their first career choice. In this Review we underscore the importance of
rebalance of the roles of health sciences institutions and government in
educational policies and implementation. The imperative for reform is shown
by a looming crisis of violence against health workers hypothesised as a
result of many factors including deficient educational preparation and
harmful profit-driven clinical practices.
============================================================================
Comments:
没说到点子上啊, "Poor quality of faculty in medical education" 才是问题的核
心。 |
|
